5-Anti-Discrimination Against Israel Affidavit.pdf
PDF 99 KB Posted
- Attached to
- Type A2 School Buses
- Solicitation number
- 25-14101
- Issued by
- Missouri
About this file
This document is an Affidavit of Compliance with the Missouri Anti-Discrimination Against Israel Act, designed for contracts exceeding $100,000 and companies with 10 or more employees. The affidavit requires the authorized representative of a business entity to swear or affirm that they are not currently engaged in, and will not engage in, a boycott of goods or services from the State of Israel, Israeli companies, or entities doing business with Israel during the contract period.
The affidavit must be signed by an authorized company representative, notarized, and confirms the individual is of sound mind and making the statement voluntarily. It specifically references Missouri Revised Statutes (RSMo) § 34.600 as the legal basis for this compliance requirement. The document provides a template for the authorized individual to complete, including spaces for the state and county, date, business entity name, title of the representative, and signature lines for both the affiant and the notary public.
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Other files
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| 2-Pricing Sheet.xlsx | XLSX spreadsheet | |
| 4-Acknowledgment Form RFP).pdf | ||
| 3-2020MinimumStandardforSchoolBuses-Final IRM.pdf | ||
| 1-25-14101.docx | DOCX document |
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Text version
AFFIDAVIT OF COMPLIANCE
WITH MISSOURI ANTI-DISCRIMINATION AGAINST ISRAEL ACT
(Contracts in excess of $100,0000.00/Companies with 10 employees or more)
STATE OF _____________________ )
) ss.
COUNTY OF ____________________ )
On this ________ day of _______________________, 20___, before me appeared ____________________________________________, personally known by me or otherwise proven to be the person whose name is subscribed on this affidavit and who, being duly sworn, stated as follows:
I am of sound mind, capable of making this affidavit, and personally swear or affirm that the statements made herein are truthful to the best of my knowledge. I am the ______________________________ (title) of _________________________________ (business entity) and I am duly authorized, directed or empowered to act with full authority on behalf of the business entity in making this affidavit.
Pursuant to RSMo § 34.600, I hereby swear or affirm that the business entity is not currently engaged in and shall not, for the duration of this agreement, engage in a boycott of goods or services from the State of Israel; companies authorized by, licensed by, or organized under the laws of the State of Israel; or companies, persons, or entities doing business in or with the state of Israel.
I acknowledge that I am signing this affidavit as the free act and deed of the business entity and that I am not doing so under duress.
Affiant’s Signature
Subscribed and sworn to before me this ______ day of ___________________, 20____.
Notary Public
My Commission expires:
File details come from the government source that posted it. Updated .